Matt Sissel of Iowa City proudly served in Iraq as a combat medic. But he objects to being "conscripted" into an overhauled federal health care system.

The uninsured artist is riled about a provision in the new health law that would require him to purchase insurance or pay a penalty starting in 2014. Last July, he filed a lawsuit to have the landmark act declared unconstitutional. "I don't want the federal government dictating my personal financial decisions," says Sissel, 29. "It can't even run its own budget."

In attacking the law in the courts, Sissel has plenty of company. A number of interest groups, state officials and ordinary citizens are seeking to have the health care law struck down in federal court, and action is heating up….

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